Individual
TANIKA R POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(770) 709-8322
Mailing address
5916 E LAKE PKWY STE 324, MCDONOUGH, GA 30253-4802
(706) 399-4601
(803) 590-6942
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN170035
GA
Other
Enumeration date
07/06/2011
Last updated
04/17/2025
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